School of Metaphysics Bookstore Intuitive Report Request and Information

Past Life Crossing Form

INTUITIVE RESEARCH

Past Life Crossing Request for you to print, fill out, and return to us

Name ____________________________________________________________________
(Please type/print as on birth certificate. Females who have married use most recent husband's last name).

Address
(Street number and name or Route/Box number)

_
City / State / Postal Code / Country

Phone Number ______________ email _

_____________________________________________________
Full name of person you desire the Past Life Crossing with.
Note: This person must give consent for this research to be conducted.

Signature (of person requesting reading) _________________________________________________

If you have questions or specific concerns please write these on the back of this sheet.
List in order of importance. If your questions exceed five please call us.

Requested minimum donation for this type of Intuitive Report is $80. Your generosity is greatly appreciated for it enables us to further our work. One hundred percent of monies received are used for expansion of SOM teachings and research.

Form of Payment (circle one): Check/Money Order (payable to School of Metaphysics) Visa Mastercard Discover

Amount Enclosed: __________________________________

Visa/MC Number: ______________________________________________ Expiration Date: ______________________

Signature of Cardholder: ____________________________________________________

Please send completed form with indicated form of payment to:

School of Metaphysics
World Headquarters
163 Moon Valley Road
Windyville, Missouri 65783
USA

*International orders please add $15.00 for return priority mail.

(please do not write in this box)

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Past Life Crossing Request for you to print, fill out, and return to us

Name ____________________________________________________________________ (Please type/print as on birth certificate. Females who have married use most recent husband's last name).

Address __________________________________________________________________ (Street number and name or Route/Box number) ___________________________________________________________________ City / State / Postal Code / Country

Phone Number ________________________________________________ email ___________________________________

Signature (of person requesting reading) _________________________________________________

If you have questions or specific concerns please write these on the back of this sheet. List in order of importance. If your questions exceed five please call us.

Name ____________________________________________________________________
(Please type/print as on birth certificate. Females who have married use most recent husband's last name).

Address
(Street number and name or Route/Box number)

_
City / State / Postal Code / Country

Phone Number ______________ email _

If you have questions or specific concerns please write these on the back of this sheet.
List in order of importance. If your questions exceed five please call us.